HomeMy WebLinkAboutLat_17905DaisyDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: ''r. ,_:arises W. „ess
C_'arrian Sec:iton r i_OL 16
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
PERMIT NO
DATE
`SUBDISTRICT
N9
941`10 P.�;^adi.se Orive Elagerstown, Amo 21Y40
Address:
Connection Fee
Units
To Main Line:
Other
Industrial j �¢
_ Date Paid � b -�
To connect to a public sewerage/water system (with proper abandonment of previous private system). The installation
of the connection and the abandonment of the previous private system shall conform with the provisions of the
Laws of the State of Maryland and Washington County Sanitary District Specifications.
This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
3** No connection to the public sewer will be permitted until the Sanitary District's
collection system is completerand the Dept, of Perm' s o the prop rty owner is
notified notified.
Secretary- reasurer
Building Permit No. jo
-L; 04-0599
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY:
Date
Plumbing Insp or
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permi
Plumbing Boa
Field Offi
Date
WASHINGTON COUNTY SAUITP.; Y DISTRICT
WASHINGTON COUNTY, MD.
Project: F
let (or location) : I ISY zii cE�ks� Lo7- 18
Contractor: C.4. MIL302J
Date Installed 7-9 AfZic. ictM
.• SANITARY SEWER LATERAL
CONSTRUCTION REPORT
MH 233 TO MH 2 35
Wye Sta. On Main z4 --79L
IYE
SIZE -
TYPE PIPE
TYPE
C.O.
DEPTH
GO.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTH
(01 PVC
CD" Pvc
IcloXB'
Sot-Z(o
sc�a 4o
Z .S�
STPD.
)S.4-L.,F
Horiz. = Total
I Z.¢�
IOTES :
DROP`'
-
Slope t Ho,Liz.-- Total
U_)oc7 Z
S Alc.E
epth of Cleanout 2 5�� at Flow Line
Ieanout Iz.4�Lr From 1: MAi.►
ayed at I.00`'�
'`I'^ Basement Service
MH*
433
S`A. Z+19L
MH"
9-3s
is pertaining to work completed this period, reviewed and approved.
Y
3
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE`
kSHINGTON COUNTY SANITARY DISTRICT
1uST 13, 1984 DIV.II 210-29 S" 29